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Home My WebLink About20101977.tiff RESOLUTION RE: APPROVE NONEXCLUSIVE LICENSE AGREEMENT FOR THE UPGRADE AND MAINTENANCE OF PORTIONS OF COUNTY ROADS 73 AND 100 AND AUTHORIZE CHAIR TO SIGN -SLAWSON EXPLORATION (WESTERN DIVISION) WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with a Nonexclusive License Agreement for the Upgrade and Maintenance of portions of County Roads 73 and 100 Right-of-Way between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, and Slawson Exploration (Western Division), 1675 Broadway, Suite 1600, Denver, Colorado 80202,with terms and conditions being as stated in said agreement, and WHEREAS,after review,the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Nonexclusive License Agreement for the Upgrade and Maintenance of Portions of County Roads 73 and 100 Right-of-Way between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, and Slawson Exploration (Western Division) be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 25th day of August, A.D., 2010. BOARD OF COUNTY COMMISSIONERS ELD CO COLORADO ATTEST: DouglO Radem her, C Weld County Clerk tot B.: 1861 t' • - o 1!•�'rbara Kirkmeyer, em BY: C:41A Deputy Clerk to the Boo` (� !f f — c Sean on a APP D AS M: 1}•anF. Garcia County Attorney p�/1 David E. Long Date of signature: 1/i o 2010-1977 Plo (, re t - PL) EG0062 1 onc: � - 0-ID q-�7 -/ o rettL--- MEMORANDUM WIlDC. TO: Clerk to the Board DATE: August 23, 2010 COLORADO FROM: Donald Carroll, Engineering Administrator SUBJECT: Agenda Item Please submit this enclosed item for the Board's next agenda: Nonexclusive License Agreement for the Upgrade and Maintenance of Weld County Right-of-Way with Slawson Exploration, WCR 100 and WCR 73. Enclosed are two original signed Agreements, please return one to Public Works. pc: Planning staff M\FrancieWgendaDonCarroll.doc 2010-1977 1ui NONEXCLUSIVE LICENSE AGREEMENT FOR THE UPGRADE AND MAINTENANCE OF WELD COUNTY RIGHT-OF-WAY THIS NONEXCLUSIVE LICENSE AGREEMENT, made and entered into this a5 day of ja t4, ucE , 2010, by and between WELD COUNTY, COLORADO,by and through the Board of County Commisioners of Weld County,Colorado,whose address is 915 Tenth Street,Greeley,Colorado 80632, as First Party, and Slawson Exploration(Western Division), as Second Party whose address is 1675 Broadway, Suite 1600,Denver,Colorado 80202. WITNESSETH: WHEREAS, Second Party desires to more effectively access property located at NW NW Section 36,T9N —R63W(Boomerang#36-9-63)of the 6a'P.M. in Weld County, Colorado,and WHEREAS,First Party is the owner of the right-of-way known as WCR 73 and 100 for distance of Approximately two(2)miles(from WCR 102 to WCR 100 and WCR 73 to 71). WHEREAS, ROW is currently not being maintained by First Party, and WHEREAS, Second Party wishes to upgrade and thereafter maintain ROW at his/her/its sole expense in order to provide said more effective access. NOW, THEREFORE,in consideration of the covenants contained herein and the agreements of said Second party to be performed hereunder, and upon the conditions herein stated,First Party does grant to Second Party,its successors and assigns, a nonexclusive license to upgrade and maintain ROW without gating or fencing across the same. The conditions by which Second Party may upgrade and maintain ROW are as follows: 1. First Party retains the right to revoke this Nonexclusive License Agreement at any time for any reason,but such revocation shall not prohibit Second Party's continued use of the ROW for access to Second Party's property,to the extent that such continued use is consistent with the right of the public to use the ROW. First Party shall give Second Party written notice of its intent to revoke this Nonexclusive License Agreement at least ninety(90)days prior to the intended date of revocation. Such notice shall be sent to Second Party by Certified Mail to its address written above or served upon Second Party in accordance with the Colorado Rules of Civil Procedure. Second Party shall have the duty of informing First Party of Second Party's change in address from his address written above. 2. The upgrade and maintenance of ROW by Second Party shall be done in such manner as reasonably prescribed by First Party,which manner shall include,but not limited to,the following: a. ROW shall be constructed and maintained as a graded and drained all-weather road. b. If the installation of a cross culvert is required through an existing drainage pattern or ditch, Second Party shall be responsible to supply and install such culvert,which shall be inspected by First Party to ensure adequacy of capacity,strength, and length. Second Party shall be responsible to maintain the culvert after its installation, including periodically cleaning the same. 1 1111111 11111 111111 VIII 1111 11111 VIII III 11111 IIII IIII 3716117 09/02/2010 11:24A Weld County, CO 1 of 4 R 0.00 D 0.00 Steve Moreno Clerk & Recorder ,A20O—/9 c. If the installation of a cattle guard is required, Second Party shall be responsible to supply and install such cattle guard,which shall meet County standards. Second Party shall be responsible to maintain the cattle guard after its installation, including periodically cleaning the same. d. This Nonexclusive License Agreement does not grant the right to gate or fence ROW for private use,but is intended to provide access to private property. e. Prior to commending work within the ROW, Second Party shall,through the services of a licensed registered surveyor hired and paid for by Second Party,mark the location of the exterior boundaries of the ROW. 3. The upgrade and maintenance of the ROW by Second Party, including those items set forth in Paragraph l.,above,or any other requirements stated by First Party, shall be at its own expense and without the aid or use of Weld County funds. Second Party shall be responsible for snow removal from ROW, if required to gain access,as part of the maintenance responsibilities referred to herein. 4. Except for the negligence of First Party, Second Party shall indemnify and save harmless First Party, its successors,assigns, employees, and agents from any damage or loss sustained by them or any of them to the extent caused by Second Party's negligence with respect to the upgrade and maintenance of the ROW. 5. Except for the negligence of First Party, Second Party agrees to protect First Party and save and hold it harmless from any and all third party claims and damages that said upgrade and maintenance may directly or indirectly cause to the extent attributable to the negligence of Second Party. Second Party hereby releases First Party,its successors, assigns,employees,and agents from any and all claims and damages of whatsoever character to property owned by Second Party resulting from any act,either on the part of the First Party or on the part of any third party. 6. Other than assignments in connection with the mortgage or sale of all or substantially all of the Second Party's assets or equity interests in Second Party, for which no consent shall be required. Second Party shall not assign any or all of its rights under this Nonexclusive License Agreement without first obtaining written consent to such assignment from First Party,which consent shall not be unreasonably withheld. 7. The parties hereby agree that neither has made or authorized any agreement with respect to the subject matter of this instrument other than expressly set forth herein, and no oral representation, promise,or consideration different from the terms herein contained shall be binding on either party hereto,or its agents or employees.This Nonexclusive License Agreement embodies all agreements between the parties hereto and there are no promises,terms,conditions, or obligations referring to the subject matter whereof other than as contained herein. 8. If any term of provision of this Nonexclusive License Agreement,or the application thereof to any person or circumstances shall,to any extent,be held invalid or unenforceable,the remainder 2 111111111111111111 VIII IIII 111111111111 III VIII IIII IIII 3716117 09/02/2010 11:24A Weld County, CO 2 of 4 R 0.00 D 0.00 Steve Moreno Clerk& Recorder of this Nonexclusive License Agreement,or the application of such terms or provisions,to a person or circumstances other than those as to which it is held invalid or unenforceable,shall not be affected, and every other term and provision of this Nonexclusive License Agreement shall be deemed valid and enforceable to the extent permitted by law. 9. No portion of this Nonexclusive License Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Nonexclusive License Agreement be deemed to have created a duty of care which did not previously exist with respect to any person not a party to this Nonexclusive License Agreement. 10. It is expressly understood and agreed that the enforcement of the terms and conditions of this Nonexclusive License Agreement,and all rights of action relating to such enforcement,shall be strictly reserved to the undersigned parties and nothing in this Nonexclusive License Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Nonexclusive License Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Nonexclusive License Agreement shall be incidental beneficiary only. 1 I. There shall be a$150 fee for the fabrication and installation of blue and white cross roads signs identifying the section line road intersection for the use of addressing and emergency response. The blue and white signs identify a non-maintained County right-of-way.Distance and location from the nearest maintained County road may require additional information signs.If existing signs are in place,the fee may be waived. 12. There shall be a$100.00 fee for the Nonexclusive License Agreement. It is mutually understood and agreed that this Nonexclusive License Agreement and all the terms and conditions hereof shall extend to and be binding upon the parties hereto,their successors, and assigns. 1111111 11111 111111 11111 1111 1111111 11110 11111 11111111 3716117 09/02/2010 11:24A Weld County, CO 3 of 4 R 0.00 D 0.00 Steve Moreno Clerk& Recorder 3 EXECUTED IN DUPLICATE the day and year first above written. FIRST PARTY: WELD COUNTY,COLORADO,by and through the BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY,COLORADO ATTEST: � j E Clerk to the Board i i t�4 By:1,47/4/t ,f � B .— ��ffcc y� � �Deputy Cle ,1 11]1 Douglas Rademacher, hair AUG 252010 SECOND PARTY: NAME Lisa Smith(Agent for Slawson) NAME Sarah Miller(Agent for Slawson) By: t By: SUBSCRIBED AND SWORN to before me this 17`h day of August ,2010, By_Venessa Langmacher WITNESS my hand and official seal \dr l .fat Ivtu t-A Notary Public My commission expires: 01/24/2013 \ G ,1/44O *WARY .-33 �QV O n PUBOGne N xv\ M:\AGREEMENTS\Non-exclusive\2010\SlawsonExploration(W estemDivis ion).docx 4 1111111 11111 111111 Ell 1111 1111111 11111 III 11111 IIII III 3716117 09/02/2010 11:24A Weld County, COr/C --/577 4 of 4 R 0.00 0 0.00 Steve Moreno Clerk& Recorder PROPOSED DRIVEWAY LOCATION MAP BOOMERANG 36 - 9 - 63 ` i • r' .ice .-., , ..1�: '! ••\� .. i l �. l , yyyiii I :\ ' f 1 y (ii � ; \ y. 1•.1. ~``,�M�- (• • ar' _ .-_�..tr4..)--• CO •- 1 '4"il,. -,.•a- -_� / ' ` i 1 �1 �1 -r _... ._.)--s•_--f- ' ' --11, ' 11 ` �• ti �\-1' I- � \ 1 i1 ,, .i• �/ `.-/f�' ��hj1� �.. ' L '\ .1\. '� ! '%� i ;leI• •i' • _ 1\ 1. I r ! ' y ✓') } , / •. 1' ( {. _ J �� , `t `, L.� . ff 'S ( ti. �~ \\�\• i /x,11 '(� ''�:e 11(••1\\,J`� _•\ 1�•:, , � ' t.‘,H----.\---\1/4-1- 3 • ' �� . .-`" •1 •L ' •\•'y Q 1 fl . 11 •-• i •l ' I L`�• V ; �"$ ', "�\•'-� •-,• / .-- •1 24: .�. - •4':: _`�1)VJ/�.iy� 1•i , y �• ' , `�f� t -~•, `• ,•-._ • 7 i r , i ,1�: •• •• V. \ . I.. r„. .��' ^r. i '\_•_. Y• _' .� •� — j ' •!'•�L ,. .lt 1 t� /-..1 ~ Igt�l ,a dj1� 1- / •a. '`�./ �` _ i�1. `. 7 \ S - 'rte • \' �, .IC' _K•1 \. •r ,ti •`a ' ` ' ( 1 IM1. - \ r I • . • \. • . . ` - - Pyary 1. f '1 '—_ -(_\ rid•/ 1. • , •� j• 1 �-• • i1 ., -, �' \ l_ • t N \ 9.1(.1 i ' , , �{. r��. / • i 12 •, .V.E.4 , ;1 • •- , PROPOSED 0• �,,. • ,' ;N. • 1• ` s; ,- '�' "�'C _D h l `Cr . • DRIVEWAY ``� ..,! • • ,-.� ;`II st ,�a, t1\ 7&I41 , 4 LOCATION o, , � IX •. : . . I i .• 1 i .. ve....... .:4.1i.',".17 r 4,12 •44.14.%,-,• . l PROPOSED ACCESS • .\ I.4' 1 ', ��; w {.vv 1 •__..r-.N-.• !�• _...••.wV 7 ^• -` 1 /\ l� .� W r R 10 ,� Y - .. ',•`• 1• • • • I\ 1.-- --n,/ C , \--\71' - . , •BOOMERANG 1 � „_ _, I � .` : .�, 36-9 - 63 PAD SITE : '(.�� ,_' ' • r\ ' ;,�q, ; t _ '> ;1 ul �^ -- . - \ �' \' �.J i`I .Ji w l`. 4+, _ T•• ' (. 1 'it.•( , \ ti _ ' ' � '• tC\� \• ` , .-. 1-l.l '. �.\\ t. AN •1 I't • - . , : . . . . .. . ' INI. litt'...,_ _•\: •-...-- :: •-•%\t:le" 1.C.".-a••••:‘• ..., j v • It•• CI It . : ‘•t - - (. \ .. I ' I LEGEND _: - - �� = - - ,.w G . .: �ior-•••-••"- ••• . - �.._ ;tit '^-- . �� PROPOSED ACCESS ROAD ,• _ ` 1,,s (rO . ' '•1..., • '' 'F 2 TRACK (NEEDS ; : ' °'• . ;�. ? , � { , • IMPROVEMENT) �'_, j ,v J IMPROVED GRAVEL ROAD � ��` ;,/ /rJ_ r ;�. �.� HIGHWAY - PAVED a \. �'• ' 1 = Y jz� 1 III " -' • SLAWSON EXPLORATION COMPANY, INC ______Ciailligh BOOMERANG 36-9-63 WESTERN LAND SERVICES SL: NW1 /4 NW1 /4, SECTION 36, T9N R63W Saida; 'Y82801 (307)673-1817 BL: SE1 /4 SW1 /4, SECTION 36, T9N R63W DP:� 6/18/2010 6TH PM, WELD COUNTY, COLORADO NAME Slawson Exploration CASE # ?oo "AGR41.14 3L-9- 43 WCR Location Intersection of 102 a d 73 ( o 3 S L) Non-exclusive License Agreement $100.00 Fabrication and Installation of Cross Road Sign (blue & white) $150.00 TOTAL DUE $250.00 NON-EXCLUSIVE LICENSE AGREEMENT ITEMS REQUIRED FOR SUBMITTAL X Documentation of Proof of Right-of-Way (Title Co./ GIS Dept.) or document of an easement shall be provided to the Department of Public Works. x One (1) copy of Non-exclusive License Agreement for the Upgrade and Maintenance of Weld County Right-of-way. This document shall be signed and sealed by a Colorado Notary Public. _X_ An 81/2" x 11" inch map, drawn, indicating type of right-of-way/ easement; whether it is dedicated, private, or deeded to provide adequate access to the parcel. X The applicant shall supply written documentation indicating the adjacent landowners are aware that the section line will be used to access to your property. X The applicant shall complete a Weld County Road Access Permit Application Form. The above information shall be submitted to Weld County Department of Public Works. Send to Clerk to the Board of hearing date: , Wednesday, 9:00 a.m. Location: Centennial Center, 915 10th Street; same block as the Court House. WELD COUNTY PUBLIC WORKS DEPARTMENT 1111 H STREET PO BOX 758 GREELEY CO 80632 M:\PLANNING—DEVELOPMENT REVIEW\NonExclusiveLicenseAgree-Form.doc .0t Pleki PEIIAIITCO (AHPASS PO Box 99 • Eastlake, CO 80614 • (303) 857-9999 • FAX (303) 450-9200 • E-MAIL Fermrtcol@aolcorn August 16,2010 Dwight A. Baker 37483 CR 100 Briggsdale,CO 80611 Dear Mr. Baker, This letter is to notify all property owners using the County section line access that we are requesting an access for proposed oil/gas drilling operations located at the intersection of WCR 102 and WCR 73,traveling south between section 25(T9N-R63W),and section 30(T9N-R62W),and then traveling west between section 25(T9N-R63W)and section 36(T9N-R63W),approximately 2 miles of section line access in total. The reason for this notification is that it will add oil/gas traffic sharing the current section line access road, and the Weld County Public Works Department requires that all landowners be notified. Please acknowledge that you have been notified of the oil/gas use by signing and returning this letter. I have included a self-addressed,stamped envelope for your convenience.Your signature on the certified mail receipt will also acknowledge notification. Sincerely, t ��D � Slawson Exploration c/o Permitco Inc.303-857-9999 1675 Broadway,Suite 1600 Denver Colorado 80202 ACKOWLEDGEMENT: Print Name Date Print Name Date Signature Signature cc: Donald Carroll,Weld County Public Works (Boomerang 36-9-63)Non-exclusive License Agreement Cs set PER.AIITCO PO Box 99 • Eastlake, CO 80614 • (303) 857-9999 • FAX (303) 45O9200 • EMAIL Permitcol @aol.com August 16,2010 United States Forest Service Vern Koehler 660 O Street Greeley,CO 80631 Dear Mr. Koehler, This letter is to notify all property owners using the County section line access that we are requesting an access for proposed oil/gas drilling operations located at the intersection of WCR 102 and WCR 73,traveling south between section 25(T9N-R63W),and section 30(T9N-R62W),and then traveling west between section 25(T9N-R63W)and section 36(T9N-R63W),approximately 2 miles of section line access in total. The reason for this notification is that it will add oil/gas traffic sharing the current section line access road, and the Weld County Public Works Department requires that all landowners be notified. Please acknowledge that you have been notified of the oil/gas use by signing and returning this letter. I have included a self-addressed,stamped envelope for your convenience.Your signature on the certified mail receipt will also acknowledge notification. Sincerely, Slawson Exploration c/o Permitco Inc.303-857-9999 1675 Broadway, Suite 1600 Denver Colorado 80202 ACKOWLEDGEMENT: Print Name Date Print Name Date Signature Signature cc: Donald Carroll,Weld County Public Works (Boomerang 36-9-63)Non-exclusive License Agreement o S�,21 �'/?Itl��, PERDII I CO PO Box 99 • Eastlake, CO 80614 • (303) 857-9999 • FAX (303) 450-9200 • E-MAIL Permitcol @aoLcom August 16,2010 Jane T. Smith CIO Marilyn C.Smith 2715 E. CO RD 1425 North Allerton, IL 61810 Dear Ms. Smith, This letter is to notify all property owners using the County section line access that we are requesting an access for proposed oil/gas drilling operations located at the intersection of WCR 102 and WCR 73,traveling south between section 25(T9N-R63W),and section 30(T9N-R62W),and then traveling west between section 25(T9N-R63W)and section 36(T9N-R63W),approximately 2 miles of section line access in total. The reason for this notification is that it will add oil/gas traffic sharing the current section line access road, and the Weld County Public Works Department requires that all landowners be notified. Please acknowledge that you have been notified of the oil/gas use by signing and returning this letter. I have included a self-addressed,stamped envelope for your convenience.Your signature on the certified mail receipt will also acknowledge notification. Sincerely, SALIM ' (fn ' Slawson Exploration do Permitco Inc.303-857-9999 1675 Broadway,Suite 1600 Denver Colorado 80202 ACKOWLEDGEMENT: Print Name Date Print Name Date Signature Signature cc: Donald Carroll,Weld County Public Works (Boomerang 36-9-63)Non-exclusive License Agreement �i PE1O1I`l'(10 PO Box 99 • Eastloke, CO 80614 • (303)857.9999 • FAX ;303; 450.9200 • E-MAIL Permifcol@ooi.com August 20,2010 Tepee Ring Ranches LLC 1853 B Chessapeake Circle Johnstown,CO 80534 Gentlemen, This letter is to notify all property owners using the County section line access that we are requesting an access for proposed oil/gas drilling operations located at the intersection of WCR 102 and WCR 73,traveling south between section 25(T9N-R63W),and section 30(T9N-R62W),and then traveling west between section 25(TON-R63W)and section 36(T9N-R63W),approximately 2 miles of section line access in total. The reason for this notification is that it will add oil/gas traffic sharing the current section line access road, and the Weld County Public Works Department requires that all landowners be notified. Please acknowledge that you have been notified of the oil/gas use by signing and returning this letter. I have included a self-addressed ,stamped envelope for your convenience. Your signature on the certified mail receipt will also acknowledge notification. Sincerely, Slawson Exploration c/o Permitco Inc.303-857-9999 1675 Broadway,Suite 1600 Denver Colorado 80202 ACKOWLEDGEMENT: Print Name Date Print Name Date Signature Signature cc:Donald Carroll,Weld County Public Works (Boomerang 36-9-63)Non-exclusive License Agreement .O. E4 PERMI'iCO PO Box 99 • Eastlake, CO 80614 • (303) 857-9999 • FAX (303) 450-9200 • E-MAIL Perrretcol@oolcam August 16,2010 Jack W.Nusbaum SOLO rl CtEc QiruG k pry ,,L 1- ;so 0/O 47358 CR 57 Ault,CO 80610-9340 r s - rJf-'w ; Dear Mr.Nusbaum, 8- 10 - it This letter is to notify all property owners using the County section line access that we are requesting an access for proposed oil/gas drilling operations located at the intersection of WCR 102 and WCR 73,traveling south between section 25(T9N-R63W),and section 30(T9N-R62W),and then traveling west between section 25(T9N-R63W)and section 36(T9N-R63W),approximately 2 miles of section line access in total. The reason for this notification is that it will add oil/gas traffic sharing the current section line access road, and the Weld County Public Works Department requires that all landowners be notified. Please acknowledge that you have been notified of the oil/gas use by signing and returning this letter.I have included a self-addressed,stamped envelope for your convenience.Your signature on the certified mail receipt will also acknowledge notification. Sincerely, Slawson Exploration c/o Permitco Inc.303-857-9999 1675 Broadway, Suite 1600 Denver Colorado 80202 ACKOWLEDGEMENT: Print Name Date Print Name Date Signature Signature cc:Donald Carroll,Weld County Public Works (Boomerang 36.9-63)Non-exclusive License Agreement alpt Pt;j PE1DIITCO !pJIPASS PO Box 99 • Eastlake, CO 80614 • (303) 857-9999 • FAX (303) 450-9200 • E-MAIL Permitcol @aol.com August 16,2010 State of Colorado Bill Killip 1313 Sherman St., Room 620 Denver,CO 80203 Dear Mr. Killip, This letter is to notify all property owners using the County section line access that we are requesting an access for proposed oil/gas drilling operations located at the intersection of WCR 102 and WCR 73,traveling south between section 25(T9N-R63W),and section 30(T9N-R62W),and then traveling west between section 25(T9N-R63W)and section 36(T9N-R63W),approximately 2 miles of section line access in total. The reason for this notification is that it will add oil/gas traffic sharing the current section line access road, and the Weld County Public Works Department requires that all landowners be notified. Please acknowledge that you have been notified of the oil/gas use by signing and returning this letter. I have included a self-addressed,stamped envelope for your convenience.Your signature on the certified mail receipt will also acknowledge notification. Sincerely, Slawson Exploration c/o Permitco Inc.303-857-9999 1675 Broadway,Suite 1600 Denver Colorado 80202 ACKOWLEDGEMENT: Print Name Date Print Name Date Signature Signature cc: Donald Carroll,Weld County Public Works (Boomerang 36-9-63)Non-exclusive License Agreement WELD COUNTY ACCESS PERMIT • Weld County Public Works Dept. `4 Phone: (970) 304-6496 1111 H Street After Hours: (970) 356-4000 P.O. Box 758 ej t1I 0, Emergency Services: (970) 304-6500 x 2700 Greeley, CO 80632 G Y ' •� Inspection: (970) 304-6480 Permit Number: AP10-00012 Issuance of this permit binds applicant and its contractors to all requirements,provisions,and ordinances of Weld County,Colorado. Project Name: Boomerang 36-9-63 Expiration date: 10/19/2010 Applicant Information: Property Owner Information: Name: Sarah Miller Name: Terry Miller Company: Slawson Exploration Co. Inc. Company: M &M Excavation Phone: 303-857-9 Phone: 970-352-5220 Email: slmpermitco@aol.com Email: terry@mmexc.com Location: Proposed Use: Access is on WCR: 102 Temporary: Nearest Intersection WCR: 73 &WCR: Single Residential: Distance From Intersection: Industrial: Number of Existing Accesses: Small Commercial: Oil&Gas: Planning Process: Large Commercial: Road Surface Type&Construction Information: Subdivision: Road Surface: Field(Agricultural Culvert Size&Type: 18 Only)/Exempt: Start Date: 08/15/2010 Finish Date: 08/18/2010 Materials to Construct Access: gravel Required Attached Documents Submitted: Traffic Control Plan: Certificate of Insurance: Access Pictures: Yes A copy of this permit must be on site at all times during construction hours Daily work hours are Monday through Friday DAYLIGHT to Y=HOUR BEFORE DARK(applies to weekends if approved) Approved MUTCD traffic control/warning devices are required before work begins and must remain until completion of work Special Requirements or Comments Construct a new access approach for a proposed oilwell site.An 18"culvert will be installed under the approach and the approach will be graveled per County requirements. 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I �NASHBURN KAY A& .t00ME12.6 34-9-43 INVOICE PUBLIC WORKS DEVELOPMENT REVIEW FEES WELD COUNTY PUBLIC WORKS DEPARTMENT P.O.BOX 758 GREELEY,CO 80632 970-356-4000,EXT.3750 Date: 8/17/2010 APPLICANT Applicant/Owner Email Address Slawson Exploration(Western Division) Street Address 1675 Broadway Suite 1600 City State Zip Phone Number Fax Number Denver Colorado 80202 Case# Subdivision/Case Name WCR 73&WCR 102-WCR 100 WCR 100&WCR 73 Lots A and B Section Township Range #Proposed Lots FEE SCHEDULE QTY DESCRIPTION UNIT TOTAL PRICE Development Construction Permit(Subdivisions) • Dwelling Units $150/lot • Non-Dwelling Units $750/ lot Offsite Road Agreement/Haul Route Agreement Review $500 Flood Hazard Development Permit $180 Storm Water Review $180 Geological Hazard Permit $180 1 Non-exclusive License Agreement $100 $100.00 1 Fabrication and Installation of Cross Road Signs(Blue& White) $150 $150.00 TOTAL DUE $250.00 Reviewed by: Title: Date: ❑ Cash ❑ Check ❑ Money Order# By Date M:W GREEMENTS\invoice-NonExcl usive-1.doc WELD COUNTY PUBLIC WORKS Weld County Public Works Dept. \.P CO Phone: (970) 304-6496 1111 H Street Fax: (970) 304-6497 P.O. Box 758 ,ty .- OF co Greeley, CO 80632 G "L� e <IC VI°� PAYMENT RECEIPT Date: August 23, 2010 Permit#: NP10-00100 Permit Type: Miscellaneous Applicant: Permitco Slawson Exploration Co. Inc. 1675 Broadway, Suite 1600 Denver, CO 80202 Amount Paid Payment Method Reference Number Cashier $250.00 Check 22647 MCAUDILL Comments: Non exclusive Lic Agr @ 100, Blue & White signs @ 150. 22647 PERMITCO INC. BELLCO CREDIT UNION P.O.BOX 99 ENGLEWOOD,CO 80155-8611 EASTLAKE,CO 80614 23-7501/3020 (303)857-9999 8/17/2010 PAY T ORDER OF Weld County Public Works I $ "250.00 Two Hundred Fifty and 00/100***********************************************:********************************************** DOLLAR: Weld County c/o Office of Public Works PO Box 758 Greeley, CO 80632 MEMO AUTHORIZED SIGNATUR Hello